Rural Australians experience a range of health inequities-including higher rates of suicide-when compared to the general population. This retrospective cohort study compares demographic characteristics and suicide death circumstances of farming-and non-farming-related suicides in rural Victoria with the aim of: (a) exploring the contributing factors to farming-related suicide in Australia's largest agricultural producing state; and (b) examining whether farming-related suicides differ from suicide in rural communities. Farming-related suicide deaths were more likely to: (a) be employed at the time of death (52.6% vs. 37.7%, OR = 1.84, 95% CIs 1.28-2.64); and, (b) have died through use of a firearm (30.1% vs. 8.7%, OR = 4.51, 95% CIs 2.97-6.92). However, farming-related suicides were less likely to (a) have a diagnosed mental illness (36.1% vs. 46.1%, OR=0.66, 95% CIs 0.46-0.96) and, (b) have received mental health support more than six weeks prior to death (39.8% vs. 50.0%, OR = 0.66, 95% CIs 0.46-0.95). A range of suicide prevention strategies need adopting across all segments of the rural population irrespective of farming status. However, data from farming-related suicides highlight the need for targeted firearm-related suicide prevention measures and appropriate, tailored and accessible support services to support health, well-being and safety for members of farming communities.The factors contributing to health inequities-including suicide risk and accidental death-are likely to reflect this heterogeneity and require detailed exploration to support any specific prevention and intervention strategies.Farmers are vital for maintaining the production of food and fibre in an environment of ever-increasing populations and market demand. In Australia-as in many other Western nations-agricultural production is increasingly recognised as a vulnerable industry. Farmers are ageing, and facing increasing technological and mechanical demands, in a fluctuating global marketplace with mounting climate uncertainty [6][7][8]. Given that the majority of Australian farms remain family owned and operated [9], this occupational vulnerability is likely to extend beyond those defined as farmers to include family members living and helping out on farms.Australia's farmers have been identified as at risk of psychological distress [10,11] and heightened rates of suicide [12][13][14][15], in the absence of any clear evidence of higher rates of diagnosed mental illness [16]. Poor mental health and suicide risk in farming have been attributed to a complex range of interconnected cultural, environmental, geographical, social and psychological risk factors [11,[17][18][19][20]. These factors include poor access to support services [21,22], an unsustainable work ethic [23], uncertainty and lack of control in farming [23], social disconnection [17,19], poor business profitability [24], acclimatisation to risk taking [25] and access to means [14]. Qualitative research suggests there may be two distinct pathways to suicide for Australia's fa...